Confirmed cases depend on testing. What’s the testing capacity in Indianapolis vs rural areas?
There’s also a time lag. I think it hit New York first because of all the travel connections.
But why would rural areas be immune? People do still meet each other. They do go to church.
Tellingly, flu death rates tend to be higher in rural areas:
https://www.washingtonpost.com/nation/2020/03/19/rural-areas...